Individual provider Active NPI

Adam Joash Bottrill, D.M.D

  • Pediatric Dentistry
  • Greenland, NH
National Provider Identifier
1194016246
Registry record updated Mar 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
03849 Issued in NH
Practice address
13 March Farm Way Unit a
Greenland, NH 03840-6235
Phone
(603) 319-4101
NPI assigned
Apr 25, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 22, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 03849 NH Primary

Addresses

Primary practice location

13 March Farm Way Unit a
Greenland, NH 03840-6235

Mailing address

13 March Farm Way Unit a
Greenland, NH 03840-6235
Phone (603) 436-2204

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
03849NHMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Seacoast Children'S Dentistry Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1303689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521676800000",
    "number": "1194016246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 MARCH FARM WAY UNIT A",
            "city": "GREENLAND",
            "state": "NH",
            "postal_code": "038406235",
            "telephone_number": "603-436-2204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 MARCH FARM WAY UNIT A",
            "city": "GREENLAND",
            "state": "NH",
            "postal_code": "038406235",
            "telephone_number": "603-319-4101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOTTRILL",
        "first_name": "ADAM",
        "middle_name": "JOASH",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-04-25",
        "last_updated": "2018-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NH",
            "license": "03849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenland, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.